Elliott, Dawn Renee

Elliott, Dawn Renee is an sole proprietor health care provider with primary practice located at 120 W Calle De Las Tiendas , Green Valley AZ 85614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Elliott, Dawn Renee can be contacted via phone (520) 570-7884.

Contact Information

Primary practice address
120 W Calle De Las Tiendas Green Valley AZ 85614
Phone: (520) 570-7884
Fax: (520) 844-6773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49454 Arizona

Profile Details

NPI number 1659507176
LBN Legal business name Elliott, Dawn Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Aug 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659507176 NPPES
Arizona MEDICAID 920272

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